Hospital and Clinical Pharmacy is a comprehensive and student-friendly textbook that provides a clear and practical understanding of pharmacy services in hospital and clinical settings. Written in simple and lucid language, the book presents the subject in a well-structured manner, making complex concepts easy to grasp and suitable for effective learning and quick revision.
The book systematically covers all essential areas including hospital pharmacy organization, roles and responsibilities of pharmacists, drug distribution systems, and supply chain management. It also highlights important topics such as hospital committees, formulary management, infection control, and inventory techniques used in modern healthcare institutions.
Special emphasis is given to clinical pharmacy practices, including patient counselling, medication therapy management, adverse drug reaction monitoring, and pharmaceutical care. The book also explains the interpretation of clinical laboratory tests, pharmacovigilance, medication errors, and drug interactions, linking theoretical knowledge with real-world clinical applications.
Additional topics such as compounding, radiopharmaceuticals, application of computers in pharmacy practice, and poisoning management further enhance the scope of the book. With its simple and holistic approach supported by illustrations and tables, this book serves as a valuable resource for students, educators, and healthcare professionals, helping them build strong clinical and professional competencies in hospital pharmacy practice.
1. Hospital Pharmacy
• Definition, scope, national and international scenario
• Organizational structure
• Professional responsibilities, Qualification and experience requirements, job specifications, work load requirements and inter professional relationships
• Good Pharmacy Practice (GPP) in hospital
• Hospital Pharmacy Standards (FIP Basel Statements, AHSP)
• Introduction to NQAS guidelines and NABH Accreditation and Role of Pharmacists
2. Different Committees in the Hospital
• Pharmacy and Therapeutics Committee - Objectives, Composition, and functions
• Hospital Formulary - Definition, procedure for development and use of hospital formulary
• Infection Control Committee – Role of Pharmacist in preventing Antimicrobial Resistance
3. Supply Chain and Inventory Control
• Preparation of Drug lists - High Risk drugs, Emergency drugs, Schedule H1 drugs, NDPS drugs, reserved antibiotics.
• Procedures of Drug Purchases - Drug selection, short term, long term, and tender/e-tender process, quotations, etc.
• Inventory control techniques - Economic Order Quantity, Reorder Quantity Level, Inventory Turnover etc.
• Inventory Management of Central Drug Store - Storage conditions, Methods of storage, Distribution, Maintaining Cold Chain, Devices used for cold storage (Refrigerator, ILR, Walk-in-Cold rooms).
• FEFO, FIFO methods.
• Expiry drug removal and handling, and disposal. Disposal of Narcotics, cytotoxic drugs.
4. Drug Distribution
• Definition, advantages and disadvantages of individual prescription order method, Floor Stock Method, Unit Dose Drug Distribution Method, Drug Basket Method.
• Distribution of drugs to ICCU/ICU/NICU/Emergency wards.
• Automated drug dispensing systems and devices.
• Distribution of Narcotic and Psychotropic substances and their storage.
5. Compounding in Hospitals
• Bulk compounding, IV admixture.
• Services and incompatibilities, Total parenteral nutrition.
6. Radio Pharmaceuticals
• Storage
• Dispensing
• Disposal of Radiopharmaceuticals
7. Application of Computers in Hospital Pharmacy Practice
• Application of Computers.
• Softwares used in Hospital Pharmacy.
8. Clinical Pharmacy
• Definition, scope, and development – in India and other countries
Technical definitions, common terminologies used in clinical
Settings and their significance such as Pediatrics, Geriatric, Anti-natal Care, Postnatal Care, etc.
• Daily activities of clinical pharmacists: Definition, goal, and procedure of
Ward round participation
Treatment Chart Review
Adverse drug reaction monitoring
Drug information and poisons information
Medication history
Patient counseling
Interprofessional collaboration
• Pharmaceutical care: Definition, classification of drug related Problems, Principles and procedure to provide pharmaceutical care
• Medication Therapy Management, Home Medication Review
9. Clinical Laboratory Tests Used in the Evaluation of Disease States
Significance and interpretation of test results.
• Hematological, Liver function, Renal function, thyroid function tests
• Tests associated with cardiac disorders
• Pulmonary Function Tests
10. Poisoning
• Types of poisoning
• Drug information centre and their services
• Poison information centre and their services
11. Pharmacovigilance
• Definition, aim and scope
• Overview of Pharmacovigilance
12. Medication Errors
• Definition, types, consequences, and strategies to minimize medication errors, LASA drugs and Tallman lettering as per ISMP
• Drug Interactions : Definition, types, clinical significance of drug interactions.
A book as per the latest syllabus frame under Education Regulation 2020
Prescribe for D.Pharmacy, Second Year by Pharmacy Council of India (PCI)
